Waiver and Release of Liability
I expressly acknowledge that my participation in Dynamic Power Yoga PLUS!/Total Health through Balance, Inc. (hereinafter DPYP!)
classes, therapies and use of its facilities are undertaken at my sole
risk,and at the sole risk of any child or dependent for whom I am
responsible; and,in consideration of such use, I agree on behalf of
myself and any child or dependent for whom I am responsible – that I
release and forever discharge DPYP!, its heirs,
successors,assignees, employees, officers, directors, shareholders, and
all persons,corporations, partnerships and other persons/entities with
whom/which DPYP! is or may in the future become
affiliated - from any and all action, cause of action, liability,
claim(s) and/or demand(s) arising out of or related to the services
provided by DPYP! (hereinafter Claim)
and for any known or unknown personal damage, loss, injury or suffering –
of myself or any child or dependent of mine for whom I am responsible -
including illness,bodily injury or death (hereinafter Injury)
- and any property loss or damage suffered by myself or any child or
dependent of mine for whom I am responsible – which may be sustained by
myself or any child or dependent of mine for whom I am responsible - in
connection with or while receiving or utilizing services of the DPYP! facility, or services of any instructors, staff, officials, subcontractors or employees of DPYP!, or assistance by any fellow students/members of DPYP! whether on or off premises. Further, I specifically acknowledge that DPYP!
accept no responsibility for the theft of or damage to personal
property - of mine or any child or dependent of mine for whom I am
responsible - left in any areas, anywhere on or around the DPYP! property. AS
A CONDITION OF PARTICIPATION IN DPYP! CLASSES, THERAPIES AND USE OF ITS
FACILITY, I AGREE - ON BEHALF OF MYSELF AND ANY CHILD OR DEPENDENT FOR
WHOM I AM RESPONSIBLE - TO ASSUME ALL RISKS INHERENT WITH AND INCIDENT
TO THE TYPE OF ACTIVITY PROVIDED BY DPYP!
I affirm that I have communicated all known medical conditions for myself and (if applicable) any
child or dependent for whom I am responsible. I understand that I am
signing for myself and (if applicable) any child or dependent for whom I
am responsible - and by such signing, my typed electronic signature is both a Medical Release and a Liability Release.
I understand & agree that my typed electronic signature on the DPYP! Sign-Up Form & Waiver is legal & binding.
I HEREBY AFFIRM THAT I HAVE READ, FULLY UNDERSTAND AND AGREE TO THE ABOVE.
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